20100049 Permit Pkg 031710City of Yelm
Community Development Department
Building Division
Phone: (360)458-8407
Fax: (360)458-3144
Permit No.: 20100049
Issue Date: 3/17/2010
(Work must be started within 180 days)
Applicant:
Name: KARA HETLAND Phone: 360-400-0552
Address: 15802 104TH AVE SE
YELM W A 98597
Property Information:
Site Address: 103 93RD AVE SE Owner: TERRY HETLAND
Assessor Parcel No.: Subdivision: Lot:
Contractor Information:
Name: KARA HETLAND Phone:
Address:
15802 104TH AVE SE
YELM WA 98597
Contractor License No.: Expires: 0/00/0000
Project Information:
Project: SIGN
Description of Work: 4 X 8 MONUMENT SIG N WITH REQUIRED LANDSCAPING
Sq. Ft. per floor: Heat Type (Electric, Gas, Other):
First
Second
Third
Garage
Basement
Fees:
Item
SIGN
Contractor
KARA HETLAND
TOTAL FEES:
Applicant's Affidavit:
I certify that I have read and examined the information contained within the application and know the same
to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of
Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants,
easements and restrictions of record. If applying as a contractor, I further certify that I am currently
registered in the S ashingto
Si nature Date ~ ~ a/ 0
Firm
Fees
$ 20.00
S 20.00
Sets of Prints:
Inal Inspection:
Date:
Ci~~ of Y~l~n
~~~ ~~n?
~~'i
_v~~.
}F ~,,.
. rz, 7i_~~, i
c
~:r. ~ : iI
~~~;; : ~:a,~~!t~C i~JI!_DIt~~ f'E?~`~IT
i~li i~'3
~~)l
.
HETLHNn, ~;ak~~
I;~~, ~ ~ ;~' i '~~r_ 5E
5IG~ ~'~' • Vii-'
;;~,, ; i 1
ru• ~ ~~; ... U
FeF 25 10 02:30p Terry Hetland !t•JGC-Y~ 3609608488 p.l
CITY OF YELM
SIGN PERMIT APPLICATION FORM
r ~
Project Address:t / ~ 3 5 3 ~ /~/G ~~ Parcel #:
Zoning; G-1 Current Use: C "' ~ Proposed Use: C- I
TypelNumber of Sign(s) (wall, monument, lighted, etc.): 1 In1•~- er ~ ~ itiC ~ t^ ~ ~-
Dimensions of Sign(s): ~ a `~ ~~~ t f ~Xg ~'-~`~ ~-~-~
Building Gross Floor Area (tsy. ft): ~ ~ ~
Building Height ~ ~ T 'F ~ 1
Existing Signage (if arty) and dimensions: `~'y iti-t_-
APPLICANT c
Last Name First Name
ADDRE S , 6 Z lG ~" S - EMAIL ~C.yv-,/ ~. f~ ~-I « ~-~,;~ ~.c
CITY e. ~ STATE W ~-` ZIP Y S TELEPHONE !~6 - ~~s ~-- ~ 31 Q
I heroby eeRify that the above irrformaHon Is convect and that the construction of th• above described sign will be In
accordance with th IeB and regulatlons of thv State of Washington and the Clly of Yetm.
~ - 23-to
Applicant's ignature Date
Owner ! Co actor !Owner's Agent / Contractor's Agent /Tenant (Please circle one.)
All permits are non-transferable and will expire if worts authorised by such permit is not begun
within 180 days of issuance, or ff work Is suspended or abandoned for a period of 180 days
Gc Cam`
20S Yetrn Avewue West (360) 458,38J5
YO Box *79 (360} 458-3141 FAR
Yelm, WA 98697 wuw.ciytlm.wo.us
BUILDING TENANT ~' c_w~-
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
-~ b 25 10 02 30p Terry Hetland
~ii~
"~
3
a
~/s/~
'/10~ddd
V
:•
P-2
J, r ` J~/
~ ~~
~~ ~~ ,~
s~ ~ s ~, ~
~ . ~n
.~ ~ ~
y
N^, ~~
C 1 : ~~
1 ~ ///~
~~ D
\ ~
~ ~
h ~
-...-~~ ~ i,~-Qq
3 "~" 4 7 ~
9
~~ ~ ~
~" n, ~',
~_._ ___
~ r --~- __ _._ _ ___ _ ____ _ _ __
~ ~ ~...
~ -,r, ~
/ T
~~^ 1 I` ~ ~ ~ ~~
~ ~~